Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Work order number
Untitled Page
(T)ools, (S)afety Equipment and (M)aterials
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Grease and grease gun
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Tools for cleaning debris
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Flashlight
Safety Guidelines
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Schedule outage with operating personnel
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Block traffic and set up alternate security measures
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Follow site safety rules for lockout and tagout
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Report equipment damage or deficiencies
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Review and follow manufacturer's O&M instructions
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Use extreme caution around moving gates and barriers. Moving gates can kill you or someone else
Maintenance Procedures
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Grease all fittings and the clevis pin
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Clean all debris from under barrier
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Look for signs of damage to barriers, pumps, or control units
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Inspect the condition of the finish
Maintenance Hours
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Estimated time spent on work order?